Right now I'm sooooo confused. I emailed psychiatrist regarding his recommendation to up the Intuniv dosage from 2 mgs to 3. He emailed back saying that difficult child's sleep problems aren't really a "problem" unless he is sleeping at school (he's not.) Regardless of his alertness in school, isn't it bad to have your eleven year old kid getting on average four to six hours of sleep at night? Sunday he slept four hours and last night six. I'm assuming this is medication related because he only started waking up so early after we increased his dosage. I am to assume that if we increase the dosage any further, he will get even less sleep than he has been getting. I don't know why psychiatrist isn't concerned unless it makes my son sleepy at school. It is not healthy in so many ways for a kid, or anybody, for that matter, to function on only a few hours sleep. I guess I will give him 3 mgs tomorrow like psychiatrist is recommending and see what happens at night. I hope I'm wrong and it won't get any worse. By the way, psychiatrist has been difficult child 1's psychiatrist for years and I never once had to question him regarding medications. Somehow I am not so trusting of his judgement right now. We'll see how it goes.